hospitals (secondary and tertiary facilities)

Service Distribution

Distribution of Services in Newfoundland and Labrador

• The following data has been gathered by the Newfoundland and Labrador Medical Association (NLMA) from a variety of sources including the NLMA Membership Database, the Department of Health and Community Services (HCS), Community Accounts, and the Canadian Institute for Health Information. The NLMA takes responsibility for the collation and presentation of this data. Given the nature of how the data is collected the following caveats should be considered as the information is reviewed:• NLMA Membership Database – Physician data gathered by the NLMA is self-reported. Therefore this

information should be interpreted with caution as it may not be an exact reflection of approved positions or an official human resource plan.

• Department of Health and Community Services – The data provided by the HCS, related to Allied Health Professionals, should also be interpreted with caution as many health care professionals travel throughout their regions to provide services to neighboring communities. For example, a Speech Language Therapist located in Gander, may travel to other communities to provide a service however, because this professional is located in Gander, the data would not capture the services provided outside of Gander.

• Data Omissions – Note, the following information does not include private allied health professionals (i.e. physiotherapy, occupational therapy, etc.).

• The information to follow is not a complete account of all health services provided in NL. Rather it is a high-level snapshot of health service resources and how they could be mapped throughout the various health regions.

Tertiary Services (St. John’s)

• NL’s tertiary medical services are located in St. John’s and include the specialty medical services listed in the first table to the right.

• The majority of services are located in the following facilities:• Health Sciences Centre• St. Clare’s Mercy Hospital• Dr. Leonard A. Miller Centre

• The majority of cancer treatment and diagnostic services are located at the Dr. H. Bliss Murphy Cancer Centre.

• The majority of specialty paediatricservices (listed in the table furthest to the right) are located at the JanewayChildren's Health and Rehabilitation Centre.

Source: Government of Newfoundland and Labrador Department of Health and Community Services 2016; Community Accounts Community Infrastructure Mapping System 2016; NLMA Database September 1, 2016.

Specialty Medical ServicesTotal #

PhysiciansCardiac Surgery 3Clinical Pharmacology 1Endocrinology and Metabolism 4Gastroenterology 11Geriatric Medicine 1Gynecologic Oncology 2Hematological Pathology 2Hematology 7Infectious Diseases 1Maternal-Fetal Medicine 2Medical Genetics 2Medical Oncology 10Neonatal-Perinatal Medicine 1Nephrology 10Neuropathology 1Neuropsychiatry 1Neurosurgery 6Nuclear Medicine 3

Palliative Medicine 3

Physical Medicine and Rehabilitation 2

Plastic Surgery 5Radiation Oncology 8Respirology 6Rheumatology 3Thoracic Surgery 3

Vascular Surgery 3

Total 101

Specialty Medical Services PAEDIATRIC

Total # Physicians

Adolescent Medicine 1

Anesthesiology 6

Cardiology 1

Diagnostic Radiology 3

Emergency Medicine 2

Endocrinology and Metabolism 1

Family Medicine 4

General Practice 2

Medical Oncology 1

Neonatal-Perinatal Medicine 3

Neurology 2

Orthopedic Surgery 2

Paediatric Cardiology 2

Paediatric General Surgery 3

Paediatric Ophthalmology 2

Paediatrics (General) 35

Plastic Surgery 1

Psychiatry 9

Rheumatology 1

Total 81

Secondary Services – General Surgery

3

4

5

6

7

8

9

10

1

2

111

2

3

4 56

78

9

10

11


Community # of Physicians Key

Burin 2

Carbonear 4

Clarenville 3

Corner Brook 6

Gander 4

Grand Falls-Windsor 4

Happy Valley-Goose Bay 1

Labrador City 1

St. Anthony 5

St. John’s 14

Stephenville 2

Total 46

Secondary Services – Cardiology


1

2

1

2


Corner Brook 1

St. John’s 12

Total 13

Secondary Services – Obstetrics/Gynaecology

3

4

5

6

7

8

9

10

1

2

1

2

3

4

5

78

9

10



Burin 2

Carbonear 2

Clarenville 3

Corner Brook 6

Gander 1


Happy Valley-Goose Bay 2

Labrador City 1

St. Anthony 2

St. John’s 17

Total 39

6

Secondary Services – Orthopaedics

3

1

2

1 2

3



Corner Brook 6

Gander 5

St. John’s 12

Total 23

Secondary Services – Psychiatry


3

4

5

6

7

8

1

2

1

2

3

4 56

7

8


Burin 1

Carbonear 3

Clarenville 2

Corner Brook 6

Gander 1


St. John’s 36

Stephenville 3

Total 59

Secondary Services – Ophthalmology


3

4

1

2

1 23

4


Corner Brook 4

Gander 3


St. John’s 10

Total 18

Secondary Services – Internal Medicine


3

4

5

6

7

8

9

1

2

1

23

4 56

7

8

9


Burin 2

Carbonear 3

Clarenville 2

Corner Brook 7

Gander 3


St. Anthony 1

St. John’s 23

Stephenville 2

Total 49

Secondary Services – Paediatrics (outside of Janeway St. John’s)


3

4

5

6

7

8

1

2

1

2

3

4 56

7

8


Burin 1

Carbonear 2

Clarenville 2

Corner Brook 5

Gander 2


St. Anthony 2

St. John's 3

Total 19

Secondary Services – Otolaryngology (ENT)


3

4

1

2

1

23

4


Carbonear 1

Corner Brook 1


St. Anthony 1

St. John’s 10 5

Total 15

5

5

Emergency Medical TransportationEastern Health

Source: Government of Newfoundland and Labrador Department of Health and Community Services 2016; Community Accounts Community Infrastructure Mapping System 2016.

Location # of Ambulances KeyCommunity

Bay L'Argent 1 1Grand Bank 2 2Hearts Delight 2 3Old Perlican 2 4Winterton 1 5

Hospital-basedCarbonear 1 6St. John's 10 7

PrivateArnold's Cove 1 8Bell Island 2 9Bonavista 2 10Brigus 2 11Burin 3 12Clarenville 6 13Clarke's Beach 4 14Ferryland 2 15Harbour Grace 4 16Holyrood 2 17Kelligrews 3 18Lethbridge 1 19Marystown 4 20Mount Carmel 1 21Placentia 3 22Port Rexton 1 23Random Island 2 24St. Bride's 2 25St. Lawrence 1 26St. Mary's 3 27Terrenceville 1 28Trepassey 2 29Upper Island Cove 3 30Whitbourne 4 31Total 78

1

2

35

4

7

68

9

10

11

12

13

14

15

16

1718

19

20 2122

23

24

2526 27

28

29

3031

Emergency Medical Transportation – Central Health


Location # of Ambulances Key

CommunityBay D'Espoir 2 1Harbour Breton 1 2Hermitage 1 3La Scie 1 4Mose Ambrose 1 5North Shore 1 6Point Leamington 1 7Roberts Arm 1 8Triton 1 9

Hospital-basedBaie Verte 1 10Buchans 1 11Gander 2 12Grand-Falls Windsor 2 13Springdale 1 14Twillingate 1 15

PrivateBotwood 2 16Boyd's Cove 3 17Carmanville 1 18Fogo 2 19Gambo 1 20Glovertown 3 21Lewisporte 6 22Newtown 2 23Norris Arm 2 24

Total 40

1

2

3

9

4

5

6

78

10

11

1213

1415

16

1718

19

20

21

22 23

24

Emergency Medical Transportation – Western Health


Location# of

AmbulancesKey

Community

Cape St. George 1 1

Cow Head 1 2

Daniel's Harbour 1 3

Hampden 1 4

Jackson's Arm 1 5

Jeffery's 1 6

Lourdes 1 7

Hospital-based

Corner Brook 1 8

Port Saunders 2 9

Private

Burgeo 2 10

Codroy 1 11

Corner Brook 8 12

Deer Lake 2 13

Port Aux Basques 4 14

Stephenville 3 15

Woody Point 1 16

Total 31

1

2

3

4

6

7

5

9

8

13

14

15

12

10

11

16

Emergency Medical Transportation – Labrador-Grenfell Health


Location# of

AmbulancesKey

Community

St. Lunaire-Griquet 1 1

Hospital-based

Flower's Cove 1 2

Labrador City 1 3

North West River 1 4

Roddickton 1 5

St. Anthony 2 6

Private

Cartwright 2 7

Forteau 2 8

Happy Valley-Goose Bay 2 9

Port Hope Simpson 1 10

Total 14

1

2

3

6

4

5

97

10

8

RNs/NPs Employed in a Primary Health Care Setting (NL and RHAs)

0

100

200

300

400

2010 2011 2012 2013 2014

(per 100,000 population)

Eastern Health

Central Health

Western Health

Labrador-GrenfellHealth

Newfoundland andLabrador

Source: Canadian Institute for Health Information (2016). Primary Health Care in Canada: A Chartbook of Selected Indicator Results, 2016 — Data Tables.

RNs/NPs Employed in a Primary Health Care Setting (NL and Canada)

0

50

100

150

200

2010 2011 2012 2013 2014

per 100,000 population

Canada

Newfoundlandand Labrador


Family Physicians per 100,000 population (NL and RHAs)

80

100

120

140

2010 2011 2012 2013 2014

Eastern Health

Central Health

Western Health

Labrador-GrenfellHealth

Newfoundland andLabrador


Family Physicians per 100,000 population (NL and Canada)

0

40

80

120

160

2010 2011 2012 2013 2014

Canada

Newfoundlandand Labrador


Allied Health Services – Physiotherapy

Facility Community# of

EmployeesKey

Agnes Pratt Nursing Home

St. John's

1

1

Charles R Bell Building 2

Community Health 1

Cordage Place- Zone 2 1

Dr. Leonard A. Miller Centre 17

General Hospital, Health Science Centre 27

Janeway Children's Health & Rehab. Centre 14

Pleasant View Towers 3

St. Clare's Mercy Hospital 19

St. Patrick's Mercy Home 1

Waterford Hospital 2

Bonavista Peninsula Health Centre Bonavista 1 2

Bonne Bay Health Centre Bonne Bay 1 3

Burin Peninsula Health Care Centre Burin 2 4

Carbonear General Hospital Carbonear 3 5

Dr. G.B. Cross Memorial Hospital Clarenville 4 6

Corner Brook Long Term Care CentreCorner Brook

27

Western Memorial Regional Hospital 7

James Paton Memorial Regional Health Centre Gander 8 8

Grand Bank Health Centre Grand Bank 1 9

Central Newfoundland Regional Health Centre Grand-Falls Windsor 7 10

Labrador Health Centre Happy Valley-Goose Bay 2 11

Placentia Health Centre Placentia 1 12

Dr. Charles L. Legrow Health Centre Port Aux Basques 1 13

Charles S. Curtis Memorial Hospital St. Anthony 1 14

Sir Thomas Roddick Hospital Stephenville 2 15

Notre Dame Bay Memorial Health Center Twillingate 1 16

Total # of Employees 132


3

4

5

6

7 8

9

10

1

2

11

12

131

14

15

16

Allied Health Services – Occupational Therapy (OT)


Community# of

EmployeesKey Community

# of Employees

Key

Bonavista 1 1 Labrador City 1 12

Bonne Bay 1 2 Marystown 1 13

Brake's Cove 1 3 Mount Pearl 2 14

Burin 2 4 Paradise 1 15

Carbonear 4 5 Placentia 1 16

Clarenville 4 6 Port Aux Basques 2 17

Corner Brook 13 7 St. Anthony 2 18

Gander 5 8 St. John's 96 19

Grand-Falls Windsor 7 9 Stephenville 2 20

Happy Valley-Goose Bay 1 10 Twillingate 1 21

Holyrood 1 11 Whitbourne 1 22

Total # of Employees = 150

3

4

5

6

7

8

9

10

1

2

11

12

13

14

15

16

17

18

19

20

21

22

1

2

3

4

5

6

7 89

10

11

12

13 14

15

16

17

18

19

20

21

22

Note: Due to the volume of OT services in the province, the facilities in which OT services are available are listed in the following slide.

Allied Health Services – Occupational Therapy (OT) cont’d…

Source: Government of Newfoundland and Labrador Department of Health and Community Services 2016.

Facility Community # of Employees Facility Community# of

Employees

Bonavista Peninsula Health Centre Bonavista 1 Placentia Health Centre Placentia 1

Bonne Bay Health Centre Bonne Bay 1 Dr. Charles L. Legrow Health Centre Port Aux Basques 2

Noton Building Brake's Cove 1 Charles S. Curtis Memorial Hospital St. Anthony 2

Burin Peninsula Health Care Centre Burin 2 Agnes Pratt Nursing Home

St. John's

2

Carbonear General HospitalCarbonear

3 Charles R Bell Building 1

Harbour Lodge Nursing Home 1 Coish Place 1

Dr. G.B. Cross Memorial HospitalClarenville

3 Cordage Place- Zone 2 3

Park Place 1 Dr. Leonard A. Miller Centre 20

Corner Brook Long Term Care Centre

Corner Brook

2 General Hospital, Health Science Centre 15

Hammond Building 2 Janeway Children's Health & Rehab. Centre 19

West Lane Recycling 1 Eastern Health Outpatients Services 6

Western Memorial Regional Hospital 8 Pleasant View Towers 4

James Paton Memorial Regional Health Centre

Gander 5 Recovery Centre 1

Central NL Regional Health Centre

Grand-Falls Windsor

4 Ropewalk Lane 1

Grand Falls Windsor Comm Health Centre 2 Salvation Army Glenbrook Lodge 2

Hope Valley Centre 1 St. Clare's Mercy Hospital 10

Labrador Health Centre Happy-Valley Goose Bay 1 Waterford Hospital 11

Holyrood Regional Office Holyrood 1 Sir Thomas Roddick HospitalStephenville

1

Labrador West Health Centre Labrador City 1 Stephenville Office 1

Marystown Community Services Marystown 1 Notre Dame Bay Memorial Health Center Twillingate 1

Mount Pearl Square Mount Pearl 2 Whitbourne Community Services Building Whitbourne 1

Tuckamore Centre Paradise 1 Total Number of Employees 150

Allied Health Services – Speech Language Therapy



EmployeesKey

Carbonear General Hospital Carbonear 2 1

Dr. G.B. Cross Memorial Hospital Clarenville 4 2

Western Memorial Regional Hospital Corner Brook 5 3

Deer Lake Medical Clinic Deer Lake 1 4


Gander 4 5

Central NL Regional Health Centre Grand-Falls Windsor 4 6

Labrador Health Centre Happy-Valley Goose Bay 2 7

Labrador West Health Centre Labrador City 1 8

Marystown Community Services Marystown 2 9

M.P. Place Port Aux Basques 1 10

Dr. Leonard A. Miller Centre

St. John's

8

11

Health Science Centre 6

Janeway Children's Health & Rehab. Centre

13

Pleasant View Towers 1

St. Clare's Mercy Hospital 2

Rehabilitation Annex Stephenville 2 12


3

4

5

6

7

8

910

1

2

11

12

1

2

34

56

78

9

10 11

12

Allied Health Services – Audiology


Employees Key

Central Newfoundland Regional Health Centre

Grand-Falls Windsor

2 1

Charles S. Curtis Memorial Hospital St. Anthony 1 2

General Hospital, Health Science Centre St. John's 7 3


Gander 3 4

Janeway Children's Health and Rehabilitation Centre

St. John's 3 5

Rehabilitation Annex Stephenville 1 6

Western Memorial Regional Hospital Corner Brook 2 7


3

4

5

6

7

1

2

1

2

3

4

5

6

7


hospitals (secondary and tertiary facilities)

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